NCLEX Exam 5: Questions with Verified Answers, Exams of Nursing

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NCLEX exam 5 |Questions with Verified Answers

One hour after furosemide (Lasix) is administered to a pt. with heart failure, a short burst of tachycardia appears on the cardiac monitor. Which electrolyte imbalance should the nurse expect? a. hypocalcemia b. hypomagnesaemia c. hypokalemia d. hypernatremia - CORRECT ANSWER c a nurse is prepping to teach a pt. plan for a client with rheumatoid arthritis. Which dietary recommendation may help this client reduce inflammation? a. fish oil b. vitamin d c. iron rich foods d. calcium carbonate - CORRECT ANSWER a which is a nonsteroidal anti-inflammatory drug (NSAID) used most often to treat rheumatoid arthritis? a. furosemide b. haloperidol c. ibuprofen d. methotrexate - CORRECT ANSWER c which med would be first prescribed for pt. with rheumatoid arthritis? a. aspirin b. Cytoxan c. furosemide d. prednisone - CORRECT ANSWER a (NSAIDS are given first)

which symptom is expected with a hemoglobin level of 10 g/dl? a. none b. pallor c. palpatations e. shortness of breath - CORRECT ANSWER a (mild anemia is indicated with level of 10, the other options would be much more variance from the normal hgb normal range) a client is admitted with thromboembolic stroke. which med should be started by day two? a. acetaminophen b. aspirin c. tenectepalse d. methylprednisolone - CORRECT ANSWER b (interferes with platelet aggregation and other antiplatelet) a 70 yr old female complains of pain in her lower back. she has a markedly aged appearance and says she doesn't eat well. she is diagnosed with osteoporosis. the nurse teaches the pt. about injury prevention because nurse is concerned in preventing which condition? (primary complication of osteoporosis) a. pain b. fracture c. hardening of the bones d. increased bone matrix - CORRECT ANSWER b a pt. with a recent fracture is suspected of having compartment syndrome. assessment findings may include which symptom? a. body-wide decrease in bone mass b. a growth in and around the bone c. inability to perform active movement; pain with passive movement

d. inability to perform passive movement: pain with active movement - CORRECT ANSWER c a pt. has developed compartment syndrome following application of a cast to a fractured tibia. which of the following responses is the most accurate for prompt action in treating compartment syndrome? a. decrease the level of pain b. prevent tissue death, which can occur 2-4 hours c. prevent further complications d. decrease swelling in the extremity - CORRECT ANSWER b (development of compartment syndrome, there is an increase in pressure within the affected compartment that compromises the circulation to the muscle tissue and to the nerves. This may lead to death of these tissues) a pt. is admitted to ER with a foot fracture. the nurse is teaching the pt. about the brace that will be applied. the teaching has been effective when the pt. states which of the following? a. "it acts as a splint" b. "it prevents friction" c. "it allows for movement" d. " it encourages direct contact" - CORRECT ANSWER a want to maintain immobility which of the following symptoms are considered a sign of paresthesia? a. fever and chills b. change in ROM c. pain and blanching d. numbness and tingling - CORRECT ANSWER d a pt. has been treated for compartment syndrome by undergoing a fascitomoy. which nursing diagnosis is most appropriate?

a. risk for infection b. chronic pain c. impaired gas exchange d. decreased cardiac output - CORRECT ANSWER a the community health nurse found an elderly female client lying in the snow, unable to move her right leg because of a fracture. whats the nurses first priority? a. realign the fracture ends b. reduce the fracture c. immobilize the fracture in its present position d. elevate the leg on what ever is available - CORRECT ANSWER c a nurse determines a client understands teaching regarding compartment syndrome if he reports which early symptom? a. heat b. paresthesia c. skin pallor d. swelling - CORRECT ANSWER b which areas should be - CORRECT ANSWER